TPA Software

 

Our revolutionary TPA software empowers you to streamline claims processing and payments. Experience lightning-fast turnaround times, reduced errors, and unparalleled accuracy for a smoother, more efficient workflow.

New platform, proven results. 

 

Our Smart Healthcare Platform means a superior member experience, lower cost curve, better retention, and competitive offerings that drive membership growth.

Expertise born from experience.

We serve more than 700,000 members through our 25+ health plan clients, including traditional insurance, discount medical plans, limited benefit plans, health sharing organizations, and TPAs.

We keep members happy.

Members who use our Smart Healthcare Platform report a Net Promoter Score* of 56. That’s better than AmEx (55), Amazon Prime (53), and Allstate (40).

Practical, proven success.

Since 2007 we’ve saved more than $384 Million in medical bills for our clients with an average out-of-pocket savings for members of 44%.

*Net Promoter Score is the percentage of customers rating their likelihood to recommend a company, a product, or a service to a friend or colleague.

Health Admin Mobile App

 

We offer an app that allows members to view pricing for hundreds of healthcare services. Members can shop and compare doctors, labs, hospitals, medications, and more.

Healthcare Navigation

Our expert healthcare navigators listen to your members’ needs, then find the best care for them (and your plan) at a low price.

Bill Negotiation

 

When a member faces an unexpected or unreasonably high medical bill, a dedicated Health Admins patient advocate works on their behalf to negotiate a reduction.

Health Plans

Control your costs, reduce churn, and increase membership by partnering with us.

Health Sharing Plans

Keep sharing costs low and grow membership with the suite of services in our Smart Healthcare Platform.

TPAs

Retain existing and gain new clients through our cost-friendly Smart Healthcare Platform.

Employers

Make your benefits package more competitive by adding our Smart Healthcare Platform.

Testimonials from clients and members.

See what patients and payers say about Health Admins’ services.

“Oh my I can’t express in words how Awesome this company is! Joseph Marek got my information 5 days ago and called me today and  literally blew my mind, he reduced my medical bills from almost $10,000 to $2,877!! This company works on our behalf and they go above and beyond, not to mention, over exceeding all my expectations. Joseph Marek YOU ARE AWESOME 🙂 Thanks sooooooo much!!!!”

Jawan Jackson

GOOGLE REVIEW

“Rarely do you encounter customer service on this level. The two people I worked with, Cindy Putnam and Patrick Gaul were quick to return messages and phone calls from the outset of our encounter. All I want is for someone to listen, acknowledge and try to help me. I got that and more from Patrick Gaul. Concise, professional and kind in our interaction.”

Rosa Slomkoski

GOOGLE REVIEW

What is TPA software?

TPA software is a specialized software solution designed for Third-Party Administrators who manage employee benefits, insurance claims, and other administrative functions. It streamlines processes such as claims processing, eligibility management, billing, and reporting, ensuring efficiency and compliance with industry standards.

What features does the Health Admins TPA software offer?

Health Admins TPA software includes features like claims management, member eligibility tracking, billing and payment processing, reporting and analytics, and compliance management. It also offers secure data storage, integration with other systems, and customizable workflows to suit different administrative needs.

How does TPA software improve efficiency?

TPA software automates many of the manual processes involved in managing benefits and claims. This reduces the time spent on administrative tasks, minimizes errors, and enhances overall productivity. The software also provides real-time data access and reporting, enabling quicker decision-making and better resource management.

Is the Health Admins TPA software customizable?

Yes, the Health Admins TPA software is designed to be customizable to fit the unique needs of different organizations. You can tailor workflows, reports, and user interfaces to match your specific administrative processes and requirements.

How does the software ensure data security?

The Health Admins TPA software employs advanced security measures, including encryption, access controls, and regular security audits, to protect sensitive data. The software is designed to comply with industry regulations such as HIPAA, ensuring that all data is handled securely and confidentially.

Can the software integrate with other systems?

Yes, the Health Admins TPA software is built to integrate seamlessly with other systems such as payroll, HR, and insurance platforms. This integration capability allows for smoother data flow between systems, reducing duplication of efforts and ensuring consistency across all platforms.

How is support provided for the TPA software?

Health Admins offers comprehensive support for its TPA software, including training, technical support, and ongoing updates. Users can access help through a dedicated support portal, contact customer service, or request personalized training sessions to get the most out of the software.

Is the TPA software cloud-based?

Yes, the Health Admins TPA software is available as a cloud-based solution, providing access to your data and tools from anywhere with an internet connection. This cloud deployment also offers scalability, allowing your system to grow with your organization.

What are the costs associated with the TPA software?

Costs for the Health Admins TPA software can vary depending on the features and level of customization required. Pricing is typically structured as a subscription model, with fees based on the number of users and the specific modules you choose to implement.

How do I get started with the HealthAdmins TPA software?

To get started with the Health Admins TPA software, you can request a demo through the Health Admins website. A representative will guide you through the features and customization options and help you determine the best setup for your organization’s needs.

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